Skip to main content

Hansen, Marilee, RN

Discipline order

Feb 22, 2019

The BCCNP Discipline Committee on Feb. 22, 2019, reached a penalty decision in the case of Marliee Hansen.

Background

On February 22–23 and March 21–22, 2018, a Panel of the Discipline Committee examined the Respondent’s conduct in relation to allegations that the Respondent had failed to provide care to patients in a manner consistent with professional standards of care. The Panel examined the Respondent’s conduct in relation to six citation items:

Citation Item 1: Between 2014 and 2016, while a nurse at an outpatient community clinic, Ms. Hansen failed to provide wound care to patients in a manner consistent with a professional standard of care;

Citation Item 2(a): On July 23, 2014, Ms. Hansen failed to employ aseptic technique when she removed the tip of a PosiFlush with her teeth before performing a peripherally inserted central catheter change;

Citation Item 2(b): On July 30, 2014, Ms. Hansen failed to employ aseptic technique by handling a catheter tip with non-sterile gloves;

Citation Item 2(d): On September 23, 2015, Ms. Hansen failed to employ aseptic techniques by failing to wear gloves when expressing seropurulent drainage from a wound;

Citation Item 2(f): On October 8, 2015, Ms. Hansen failed to employ aseptic technique by providing wound care without gloves; and

Citation Item 3: On occasions between 2014 and 2016 and/or about September 11, 2014, Ms. Hansen stated to patients and/or colleagues in the Oceanside Clinic that gloves were not necessary during wound care, when Ms. Hansen knew or ought to have known that this was inconsistent with a standard of professional care.

Verdict decision

On July 3, 2018, the Panel issued its Verdict Decision. As set out in the Verdict Decision, the Panel decided that the Respondent had incompetently practiced nursing within the meaning of s. 39(1)(d) of the HPA:

a.

by failing to provide wound care to patients in a manner consistent with a professional standard of care (Citation Item 1);

b.

by failing to employ aseptic technique on three separate occasions (Citation Items 2(a), 2(b), and 2(d)); and

c.

by stating to patients and/or colleagues that gloves were not necessary during wound care, when knowing or ought to have known that this was inconsistent with a professional standard of care (Citation Item 3).

The Panel also decided that, by not addressing her failure to consistently apply aseptic techniques, despite being informed of pertinent aseptic technique standards, the Respondent had failed to comply with an overarching standard imposed by the College under the HPA, within the meaning of s. 39(1)(b) of the HPA.

Penalty hearing and decision

The panel reconvened on December 20, 2018, to continue its hearing and hear evidence and submissions on penalty, costs, and public notice. Ms. Hansen did not respond to repeated notices about the penalty hearing, and did not attend or send a representative. The hearing proceeded in her absence.
In light of the evidence, the Panel ordered the following:

1.

a written reprimand of the Respondent

2.

that the Respondent’s registration be suspended for six months, effective the fifth calendar day after the Respondent actually or constructively receives notice of this Order, or until the later of all of the following events:

 

a.

the Respondent must, at her own expense, successfully complete the following educational conditions:

 

 

i.

Professional Standards web module available through BCCNP;

 

 

ii.

Communications web module available through BCCNP;

 

 

iii.

Documentation web module available through BCCNP; and

 

 

iv.

Infection Prevention and Control Practices for Direct Clinical Care Providers web module available through the Provincial Infections Control Network of British Columbia;

 

b.

upon successful completion of each of the courses noted in 2(a) above that together comprise the Educational Conditions, the Respondent must promptly provide BCCNP with a transcript or other documentation indicating successful completion, including the course outline and/or syllabus, workbooks, and a summary of her learning;

 

c.

the Respondent must meet with a BCCNP Regulatory Practice Consultant to discuss the conduct and competency issues outlined in the Verdict Decision in relation to the Standards of Practice, including those of professional conduct established by BCCNP;

 

d.

the Respondent must make an initial learning plan that will include strategies she will use to prevent similar occurrences in the future and to ensure she remains accountable and responsible for her actions, for which she will obtain approval from BCCNP;

3.

After the Respondent’s suspension comes to an end, the Respondent will have certain Limits and Conditions imposed on her practice, which are described in paragraphs 4 to 6 below. The Limits and Conditions will be in place until the Respondent has completed six months of full-time nursing practice, or if she is not practising full-time, until she has completed 900 working hours, involving her providing direct clinical or client care;

4.

The Respondent must take the following steps with respect to her learning plan:

 

a.

Provide the initial learning plan to any and all current employer(s);

 

b.

Provide the initial learning plan and the most recent version of the learning plan to any prospective employer(s) before commencing such employment;

 

c.

Review the learning plan and obtain written feedback from her employer(s) on the progress of her learning plan every month, and update it as necessary, for the duration of the Limits and Conditions;

 

d.

Provide updated learning plans immediately to her employer(s) and BCCNP for approval; and

 

e.

Permit BCCNP and the employer(s) to discuss the Respondent’s initial learning plan and any updated learning plans;

5.

The Respondent must practice in a supervised setting as follows:

 

a.

The Respondent must work under the direct supervision of at least one other registered nurse, nurse practitioner, physician or other appropriate regulated health professional (the “Supervisor(s)”) for the duration of the Limits and Conditions;

 

b.

The Respondent must obtain written approval of the proposed Supervisor(s) by the BCCNP prior to commencing work; and

 

c.

During the period of supervision, the Respondent must not be the sole regulated health professional in her clinical practice setting, be in a leadership or teaching position, or have oversight of other staff, and the Supervisor(s) must be physically present in the same location as the Respondent;

6.

The Respondent must:

 

a.

Immediately release the Verdict Decision and Penalty Decision and Order to the below-listed individuals, and the BCCNP may do the same:

 

 

i.

All of her employers;

 

 

ii.

All of her direct supervisors; and

 

 

iii.

Any prospective employer upon acceptance of a new position during the two (2) year period following the end of her suspension, or, if the Respondent does not complete six-months of full-time nursing practice or 900 working hours in direct clinical or client care within this (2) year period, any prospective employer in clinical or client care until the Respondent has completed that amount of work in that field.

 

b.

Provide the BCCNP with a letter from her employer(s), or her prospective employer(s) as contemplated by paragraph 6(a) above, confirming that they have received and read a copy of the Verdict Decision and Penalty Decision and Order and agree to allow the Respondent to work in accordance with its terms, and

 

c.

Immediately update BCCNP with regard to the following:

 

 

i.

For a minimum period of two (2) years from the issuance of this Order and until the requirements of the Order are fulfilled, new personal contact information;

 

 

ii.

For a minimum period of two (2) years from the issuance of this Order and until the requirements of the Order are fulfilled, consistent with paragraph 6(a) above, new or additional employer contact information at least 30 days before the proposed commencement of employment; or

 

 

iii.

For a minimum period of two (2) years from the issuance of this Order and until the requirements of the Order are fulfilled, the suspension or termination of employment by any employer, or a leave of absence from nursing practice; and

7.

Costs to the BCCNP in the amount of $36,926.56 to be paid in accordance with the following payment schedule:

 

a.

$17,963.28 by the end of the registration renewal period in February 2021;          

 

b.

$17,963.28 by the end of the registration renewal period in February 2022; and The Registrar of the College will retain discretion to enter into a different payment plan with the Respondent, as the Registrar sees fit.

 

c.

The Registrar of the College will retain discretion to enter into a different payment plan with the Respondent, as the Registrar sees fit.

The Committee is satisfied this outcome will protect the public.

900 – 200 Granville St
Vancouver, BC  V6C 1S4
Canada

info@bccnm​.ca
604.742.6200​
​Toll-free 1.866.880.7101 (within Canada only) ​


With great respect, we acknowledge that BCCNM’s office is located on the unceded territories of the hən̓q̓əmin̓əm̓ speaking peoples – xʷməθkʷəy̓əm (Musqueam), and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples - Sḵwx̱wú7mesh Úxwumixw (Squamish Nation) whose historical relationships with the land continue to this day.​